UofL Health
RN, Case Manager, Jewish Hospital
UofL Health, Louisville, Kentucky, us, 40201
Overview:
We are Hiring at Jewish HospitalLocation: 200 Abraham Flexner Way Louisville, KY 40202Shift Options: Full Time, FirstAbout UofL HealthUofL Health is a fully integrated regional academic health system with eight hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital.With more than 13,000 team members physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.Responsibilities:Under the direction of the Manager or Director of Care Coordination or CNO, the RN Case Manager performs activities which support the Care Coordination Department including:Promotes optimal management of clinical resources by conducting timely initial admission assessments based on clinical indicators and anticipated service needs for appropriate level of hospital care; Validates patient demographics and payor source
Utilizes and contributes to the development of the multidisciplinary clinical assessment of patients on an on-going basis during the patients admission to ensure the quality and appropriateness of patient care
Implements, reassesses, and evaluates patient condition and coordinates plan of care daily; Develops patient specific plan of care based on the individual needs of the patients, conversations with providers and other staff, and documentation in electronic medical record (EMR.) Ensures updated plan of care is documented in the EMR
Coordinates the discharge needs of patients with necessary internal and external providers while protecting patient information
Performs timely, professional, and appropriate documentation as reflected in the Quality Review Audit process
Advocates for patient/family needs in a respectful, non-judgmental, and confidential manner
Serves as a liaison or facilitator for the patient and interdisciplinary healthcare team in the management of unusual or questions cases. Educates the healthcare team about the role of the RN: Case Manager. Is accessible to the healthcare team as a resource.
Appropriately refers cases to manager/director of care coordination, CAO, or medical director when intensity of service or severity of illness is not present and is unable to be resolved
Ensure delivery of Discharge Medicare Important Message (IM) and Medicare Outpatient Observation Notice (MOON), where applicable
Acknowledges, addresses, and completes are Consults to Case Management on respective units in EMR
Other Functions:Works collaboratively with social workers to identify social and financial barriers and community resources
Completes referrals to Social Worker for patients with high-risk indicators
Attends monthly departmental staff communications meetings. Serves as an active member of committees, as needed, which may include a variety of projects or topics
Enhances professional growth and development through participation in educational programs, reading current literature, attending in-service meetings and workshops that are related to assigned areas of responsibility. Assumes responsibility of growth and development, maintains competency in care management principles
Educates physicians, patients, and staff with regards to payors, financial issues, documentation, and potential compliance issues
Serves as a resource to physicians for clinical management and financial issues. Assists the providers with promoting efficiencies in the care delivery system and reducing/ eliminating barriers to efficient/effective service
Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Qualifications:Required QualificationsLicensed or eligible for license in KentuckyBasic Life Support (BLS) accredited by the American Heart Association (AHA)Bachelors degree from accredited college or University or RN with a Bachelors Degree in Business or Health Care Administration preferred.Must have 5+ years of care management experience in an acute hospital setting. Must be able to adjust priorities quickly, organize multiple tasks simultaneously, and work interdependently with many levels of staff. Attention to detail; strong organizational, interpersonal and communication skills; and innovative problem solving skills required. Must be able to adjust work hours depending on depending upon departmental needs as determined by the director or manager.
Preferred QualificationsCertification in a nursing specialty area or CCM
Benefits & PerksCompetitive Pay & Benefits OptionsPaid Vacation, Sick days, and HolidaysFree tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner401K with Employer Match#LI-DNI
We are Hiring at Jewish HospitalLocation: 200 Abraham Flexner Way Louisville, KY 40202Shift Options: Full Time, FirstAbout UofL HealthUofL Health is a fully integrated regional academic health system with eight hospitals, four medical centers, Brown Cancer Center, Eye Institute, nearly 200 physician practice locations, and more than 1,000 providers in Louisville and the surrounding counties, including southern Indiana. Additional access to UofL Health is provided through a partnership with Carroll County Memorial Hospital.With more than 13,000 team members physicians, surgeons, nurses, pharmacists and other highly-skilled health care professionals, UofL Health is focused on one mission: to transform the health of communities we serve through compassionate, innovative, patient-centered care.Responsibilities:Under the direction of the Manager or Director of Care Coordination or CNO, the RN Case Manager performs activities which support the Care Coordination Department including:Promotes optimal management of clinical resources by conducting timely initial admission assessments based on clinical indicators and anticipated service needs for appropriate level of hospital care; Validates patient demographics and payor source
Utilizes and contributes to the development of the multidisciplinary clinical assessment of patients on an on-going basis during the patients admission to ensure the quality and appropriateness of patient care
Implements, reassesses, and evaluates patient condition and coordinates plan of care daily; Develops patient specific plan of care based on the individual needs of the patients, conversations with providers and other staff, and documentation in electronic medical record (EMR.) Ensures updated plan of care is documented in the EMR
Coordinates the discharge needs of patients with necessary internal and external providers while protecting patient information
Performs timely, professional, and appropriate documentation as reflected in the Quality Review Audit process
Advocates for patient/family needs in a respectful, non-judgmental, and confidential manner
Serves as a liaison or facilitator for the patient and interdisciplinary healthcare team in the management of unusual or questions cases. Educates the healthcare team about the role of the RN: Case Manager. Is accessible to the healthcare team as a resource.
Appropriately refers cases to manager/director of care coordination, CAO, or medical director when intensity of service or severity of illness is not present and is unable to be resolved
Ensure delivery of Discharge Medicare Important Message (IM) and Medicare Outpatient Observation Notice (MOON), where applicable
Acknowledges, addresses, and completes are Consults to Case Management on respective units in EMR
Other Functions:Works collaboratively with social workers to identify social and financial barriers and community resources
Completes referrals to Social Worker for patients with high-risk indicators
Attends monthly departmental staff communications meetings. Serves as an active member of committees, as needed, which may include a variety of projects or topics
Enhances professional growth and development through participation in educational programs, reading current literature, attending in-service meetings and workshops that are related to assigned areas of responsibility. Assumes responsibility of growth and development, maintains competency in care management principles
Educates physicians, patients, and staff with regards to payors, financial issues, documentation, and potential compliance issues
Serves as a resource to physicians for clinical management and financial issues. Assists the providers with promoting efficiencies in the care delivery system and reducing/ eliminating barriers to efficient/effective service
Maintains compliance with all company policies, procedures and standards of conduct
Complies with HIPAA privacy and security requirements to maintain confidentiality at all times
Performs other duties as assigned
Qualifications:Required QualificationsLicensed or eligible for license in KentuckyBasic Life Support (BLS) accredited by the American Heart Association (AHA)Bachelors degree from accredited college or University or RN with a Bachelors Degree in Business or Health Care Administration preferred.Must have 5+ years of care management experience in an acute hospital setting. Must be able to adjust priorities quickly, organize multiple tasks simultaneously, and work interdependently with many levels of staff. Attention to detail; strong organizational, interpersonal and communication skills; and innovative problem solving skills required. Must be able to adjust work hours depending on depending upon departmental needs as determined by the director or manager.
Preferred QualificationsCertification in a nursing specialty area or CCM
Benefits & PerksCompetitive Pay & Benefits OptionsPaid Vacation, Sick days, and HolidaysFree tuition to UofL for Part- and Full-time employees for Child/Spouse/Domestic Partner401K with Employer Match#LI-DNI